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A Pharmacokinetic and Safety Study of Paliperidone Palmitate (JNS010) in Participants With Schizophrenia

A Repeated Dose Study of JNS010 (Paliperidone Palmitate) in Patients With Schizophrenia

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01606254
Enrollment
56
Registered
2012-05-25
Start date
2007-01-31
Completion date
2008-04-30
Last updated
2013-06-05

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Schizophrenia

Keywords

Schizophrenia, Paliperidone Palmitate, JNS010

Brief summary

The purpose of this study is to assess the pharmacokinetics (the study of the way a drug enters and leaves the blood and tissues over time) and safety of paliperidone palmitate in participants with schizophrenia (psychiatric disorder with symptoms of emotional instability, detachment from reality, often with delusions and hallucinations, and withdrawal into the self).

Detailed description

This is a multicenter (when more than one hospital or medical school team work on a medical research study), open-label (all people know the identity of the intervention), randomized (the study drug is assigned by chance), parallel-group (Each group of participants will be treated at the same time), comparison study to assess the pharmacokinetics and safety of paliperidone palmitate (study medication) in participants with schizophrenia. The study comprises a 64-day Treatment period and a 155-day Follow-up period. The participants will be randomly assigned to one of the four study groups. The study medication will be administered on Days 1, 8, 36 and 64. Pharmacokinetics of the study medication will be assessed as primary outcome. Participants' safety will be monitored throughout the study.

Interventions

DRUGPaliperidone palmitate

Paliperidone palmitate aqueous suspension for injection 0.5, 1.0, 1.5 milliliter equivalent to 50, 100, 150 mg paliperidone respectively as intramuscular injection on Days 1, 8, 36 and 64.

Sponsors

Janssen Pharmaceutical K.K.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
20 Years to 65 Years
Healthy volunteers
No

Inclusion criteria

* Participants who have been diagnosed with schizophrenia in accordance with the diagnostic criteria of Diagnostic and Statistical Manual of Mental Disorders 4th edition (DSM-IV) * Participants may be inpatients or outpatients * Participants who have been taking an oral antipsychotic medication for at least 28 days before the date of informed consent * Participants with a Positive and Negative Syndrome Scale (PANSS) score of less than or equal to 4 (moderate) at screening * Participants who have taken risperidone by the start of investigational treatment and the record can be confirmed

Exclusion criteria

* Participants who have been diagnosed with a mental disease other than schizophrenia in accordance with the diagnostic criteria of Diagnostic and Statistical Manual of Mental Disorders 4th edition (DSM-IV) * Participants who have been diagnosed with substance-related disorders (except nicotine and caffeine dependence) * Participants with complicated parkinson's disease (a progressive disorder of the central nervous system, seen usually in older persons, in which there is muscle weakness, trembling and sweating) * Participants with a complication of or with a history of convulsive disease such as epilepsy (seizure disorder) * Participants with a complication of or with a history of cerebro-vascular accident (stroke), neuroleptic malignant syndrome (high fever, rigid muscles, shaking, confusion, sweating more than usual, increased heart rate or blood pressure, or muscle pain or weakness) or physical exhaustion associated with the state of dehydration (lose of water and minerals in the body) or malnutrition

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 218Day 218The DIEPSS is a scale used to evaluate the severity of drug induced extra-pyramidal symptoms occurring during antipsychotic drug treatment. Scale consists of 8 individual symptom scales with scores ranging from 0 (none/normal) to 4 (severe). The total score is the average of the 8 item scores, for a total range of 0 (normal) to 4 (severe). Overall severity was assessed at 5 levels (0 \[none, normal\]; 1 \[Very Mild\]; 2 \[Mild\]; 3 \[Moderate\]; 4 \[severe\]).
Number of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 120Day 120The DIEPSS is a scale used to evaluate the severity of drug induced extra-pyramidal symptoms occurring during antipsychotic drug treatment. Scale consists of 8 individual symptom scales with scores ranging from 0 (none/normal) to 4 (severe). The total score is the average of the 8 item scores, for a total range of 0 (normal) to 4 (severe). Overall severity was assessed at 5 levels (0 \[none, normal\]; 1 \[Very Mild\]; 2 \[Mild\]; 3 \[Moderate\]; 4 \[severe\]).
Number of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 162Day 162The DIEPSS is a scale used to evaluate the severity of drug induced extra-pyramidal symptoms occurring during antipsychotic drug treatment. Scale consists of 8 individual symptom scales with scores ranging from 0 (none/normal) to 4 (severe). The total score is the average of the 8 item scores, for a total range of 0 (normal) to 4 (severe). Overall severity was assessed at 5 levels (0 \[none, normal\]; 1 \[Very Mild\]; 2 \[Mild\]; 3 \[Moderate\]; 4 \[severe\]).
Paliperidone Pre-dose Plasma Concentration (Cpredose) at Day 8Day 8The pre-dose plasma concentration (Cpredose) at Day 8 is defined as the plasma concentration obtained before a dose is given on Day 8. The mean Cpredose at Day 8 was measured in nanogram per milliliter (ng/ml).
Paliperidone Pre-dose Plasma Concentration (Cpredose) at Day 36Day 36The Cpredose at Day 36 is defined as the plasma concentration obtained before a dose is given on Day 36. The mean Cpredose at Day 36 was measured in ng/ml.
Paliperidone Pre-dose Plasma Concentration (Cpredose) at Day 64Day 64The Cpredose at Day 64 is defined as the plasma paliperidone concentration obtained before a dose is given on Day 64. The mean Cpredose at Day 64 was measured in ng/ml.
Paliperidone Pre-dose Plasma Concentration (Cpredose) at Day 92Day 92The Cpredose at Day 92 is defined as the plasma paliperidone concentration obtained after the treatment interval of the study drug (that is 4 weeks) passed after the final dose (Day 92). The mean Cpredose at Day 92 was measured in ng/ml.
Maximum Observed Plasma Concentration (Cmax) of PaliperidoneDays 1, 8, 15, 22, 36, 50, 64, 67, 71, 74, 78, 85, 92, 106, 120, 134, 162, 190, 218 and early withdrawalThe Cmax is defined as maximum observed analyte concentration.
Time to Reach Maximum Observed Plasma Concentration (Tmax) of PaliperidoneDays 1, 8, 15, 22, 36, 50, 64, 67, 71, 74, 78, 85, 92, 106, 120, 134, 162, 190, 218 and early withdrawalThe Tmax is defined as actual sampling time to reach maximum observed analyte concentration.
Area Under the Curve From Time Zero to End of Dosing Interval (AUCtau)Days 1, 8, 15, 22, 36, 50, 64, 67, 71, 74, 78, 85, 92, 106, 120, 134, 162, 190, 218 and early withdrawalThe AUCtau is a measure of the plasma paliperidone concentration from time zero to end of dosing interval. It is used to characterize drug absorption.
Plasma Paliperidone Concentration at Steady State (Css av)Days 1, 8, 15, 22, 36, 50, 64, 67, 71, 74, 78, 85, 92, 106, 120, 134, 162, 190, 218 and early withdrawalThe Css av is defined as value of average analyte concentration at steady-state (after 4 Intramuscular Injections of Paliperidone Palmitate).
Paliperidone Plasma Decay Half-Life (t1/2)Days 1, 8, 15, 22, 36, 50, 64, 67, 71, 74, 78, 85, 92, 106, 120, 134, 162, 190, 218 and early withdrawalPlasma decay half-life is the time measured for the plasma concentration to decrease by one half.
Number of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 8Day 8The DIEPSS is a scale used to evaluate the severity of drug induced extra-pyramidal symptoms occurring during antipsychotic drug treatment. Scale consists of 8 individual symptom scales with scores ranging from 0 (none/normal) to 4 (severe). The total score is the average of the 8 item scores, for a total range of 0 (normal) to 4 (severe). Overall severity was assessed at 5 levels (0 \[none, normal\]; 1 \[Very Mild\]; 2 \[Mild\]; 3 \[Moderate\]; 4 \[severe\]).
Number of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 22Day 22The DIEPSS is a scale used to evaluate the severity of drug induced extra-pyramidal symptoms occurring during antipsychotic drug treatment. Scale consists of 8 individual symptom scales with scores ranging from 0 (none/normal) to 4 (severe). The total score is the average of the 8 item scores, for a total range of 0 (normal) to 4 (severe). Overall severity was assessed at 5 levels (0 \[none, normal\]; 1 \[Very Mild\]; 2 \[Mild\]; 3 \[Moderate\]; 4 \[severe\]).
Number of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 50Day 50The DIEPSS is a scale used to evaluate the severity of drug induced extra-pyramidal symptoms occurring during antipsychotic drug treatment. Scale consists of 8 individual symptom scales with scores ranging from 0 (none/normal) to 4 (severe). The total score is the average of the 8 item scores, for a total range of 0 (normal) to 4 (severe). Overall severity was assessed at 5 levels (0 \[none, normal\]; 1 \[Very Mild\]; 2 \[Mild\]; 3 \[Moderate\]; 4 \[severe\]).
Number of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 78Day 78The DIEPSS is a scale used to evaluate the severity of drug induced extra-pyramidal symptoms occurring during antipsychotic drug treatment. Scale consists of 8 individual symptom scales with scores ranging from 0 (none/normal) to 4 (severe). The total score is the average of the 8 item scores, for a total range of 0 (normal) to 4 (severe). Overall severity was assessed at 5 levels (0 \[none, normal\]; 1 \[Very Mild\]; 2 \[Mild\]; 3 \[Moderate\]; 4 \[severe\]).
Number of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 92Day 92The DIEPSS is a scale used to evaluate the severity of drug induced extra-pyramidal symptoms occurring during antipsychotic drug treatment. Scale consists of 8 individual symptom scales with scores ranging from 0 (none/normal) to 4 (severe). The total score is the average of the 8 item scores, for a total range of 0 (normal) to 4 (severe). Overall severity was assessed at 5 levels (0 \[none, normal\]; 1 \[Very Mild\]; 2 \[Mild\]; 3 \[Moderate\]; 4 \[severe\]).

Secondary

MeasureTime frameDescription
Number of Participants With Clinical Global Impression Severity (CGI-S) ScoreBaseline, Day 8, 22, 50, 78 and 92The CGI-S rating scale is a 7 point (1-absent, 2-minimal, 3-mild, 4-moderate, 5-moderate severe, 6-severe, 7-extreme) global assessment that measures the clinician's impression of the severity of illness exhibited by a participant. A rating of 1 is equivalent to normal, not at all ill and a rating of 7 is equivalent to among the most extremely ill participants. Higher scores indicate worsening.
Positive and Negative Syndrome Scale (PANSS) Total ScoreBaseline, Day 8, 22, 50, 78 and 92The PANSS is a medical scale that assesses various symptoms of schizophrenia. The symptoms are rated on a 7-point scale from 1 (absent) to 7 (extreme psychopathology). The total score is the sum of all 30 PANSS items, with a range of 30 (absent) to 210 (extreme ill).

Countries

Japan

Participant flow

Participants by arm

ArmCount
Paliperidone Palmitate 50 mg
Paliperidone palmitate 50 milligram (mg) intramuscular injection administered on Days 1, 8, 36 and 64.
14
Paliperidone Palmitate 100 mg
Paliperidone palmitate 100 mg intramuscular injection administered on Days 1, 8, 36 and 64.
14
Paliperidone Palmitate 150 mg
Paliperidone palmitate 150 mg intramuscular injections administered on Days 1, 8, 36 and 64.
14
Paliperidone Palmitate 150/ 50 mg
Paliperidone palmitate 150 mg intramuscular injection administered on Day 1 and paliperidone palmitate 50 mg intramuscular injection administered on Days 8, 36 and 64.
14
Total56

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003
Overall StudyAdverse Event1101
Overall StudyWithdrawal by Subject1302

Baseline characteristics

CharacteristicPaliperidone Palmitate 50 mgPaliperidone Palmitate 100 mgPaliperidone Palmitate 150 mgPaliperidone Palmitate 150/ 50 mgTotal
Age Continuous46.4 Years
STANDARD_DEVIATION 13.8
45.2 Years
STANDARD_DEVIATION 11.1
48.7 Years
STANDARD_DEVIATION 11.8
49.4 Years
STANDARD_DEVIATION 12.1
47.4 Years
STANDARD_DEVIATION 12
Number of Participants with Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score
Mild
0 Participant0 Participant1 Participant0 Participant1 Participant
Number of Participants with Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score
None
8 Participant8 Participant5 Participant5 Participant26 Participant
Number of Participants with Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score
Very mild
6 Participant6 Participant8 Participant9 Participant29 Participant
Sex: Female, Male
Female
2 Participants5 Participants3 Participants6 Participants16 Participants
Sex: Female, Male
Male
12 Participants9 Participants11 Participants8 Participants40 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —
other
Total, other adverse events
14 / 1414 / 1414 / 1414 / 14
serious
Total, serious adverse events
1 / 140 / 142 / 143 / 14

Outcome results

Primary

Area Under the Curve From Time Zero to End of Dosing Interval (AUCtau)

The AUCtau is a measure of the plasma paliperidone concentration from time zero to end of dosing interval. It is used to characterize drug absorption.

Time frame: Days 1, 8, 15, 22, 36, 50, 64, 67, 71, 74, 78, 85, 92, 106, 120, 134, 162, 190, 218 and early withdrawal

Population: Pharmacokinetic analysis set included all participants who received the study medication and whose plasma drug concentrations were available. Here 'N' (number of participants analyzed) signifies those participants evaluable for this measure.

ArmMeasureValue (MEAN)Dispersion
Paliperidone Palmitate 50 mgArea Under the Curve From Time Zero to End of Dosing Interval (AUCtau)7081 nanogram*hour per milliliterStandard Deviation 3581
Paliperidone Palmitate 100 mgArea Under the Curve From Time Zero to End of Dosing Interval (AUCtau)15898 nanogram*hour per milliliterStandard Deviation 7535
Paliperidone Palmitate 150 mgArea Under the Curve From Time Zero to End of Dosing Interval (AUCtau)21853 nanogram*hour per milliliterStandard Deviation 15534
Paliperidone Palmitate 150/ 50 mgArea Under the Curve From Time Zero to End of Dosing Interval (AUCtau)11109 nanogram*hour per milliliterStandard Deviation 5390
Primary

Maximum Observed Plasma Concentration (Cmax) of Paliperidone

The Cmax is defined as maximum observed analyte concentration.

Time frame: Days 1, 8, 15, 22, 36, 50, 64, 67, 71, 74, 78, 85, 92, 106, 120, 134, 162, 190, 218 and early withdrawal

Population: Pharmacokinetic analysis set included all participants who received the study medication and whose plasma drug concentrations were available. Here 'N' (number of participants analyzed) signifies those participants evaluable for this measure.

ArmMeasureValue (MEAN)Dispersion
Paliperidone Palmitate 50 mgMaximum Observed Plasma Concentration (Cmax) of Paliperidone13.7 ng/mlStandard Deviation 7.52
Paliperidone Palmitate 100 mgMaximum Observed Plasma Concentration (Cmax) of Paliperidone33.5 ng/mlStandard Deviation 19.8
Paliperidone Palmitate 150 mgMaximum Observed Plasma Concentration (Cmax) of Paliperidone43.1 ng/mlStandard Deviation 30.3
Paliperidone Palmitate 150/ 50 mgMaximum Observed Plasma Concentration (Cmax) of Paliperidone21.6 ng/mlStandard Deviation 12.9
Primary

Number of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 120

The DIEPSS is a scale used to evaluate the severity of drug induced extra-pyramidal symptoms occurring during antipsychotic drug treatment. Scale consists of 8 individual symptom scales with scores ranging from 0 (none/normal) to 4 (severe). The total score is the average of the 8 item scores, for a total range of 0 (normal) to 4 (severe). Overall severity was assessed at 5 levels (0 \[none, normal\]; 1 \[Very Mild\]; 2 \[Mild\]; 3 \[Moderate\]; 4 \[severe\]).

Time frame: Day 120

Population: Safety analysis set included all participants who were enrolled in the study and received the study medication at least once. Here 'N' (number of participants analyzed) signifies those participants evaluable for this measure.

ArmMeasureGroupValue (NUMBER)
Paliperidone Palmitate 50 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 120None9 Participants
Paliperidone Palmitate 50 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 120Mild0 Participants
Paliperidone Palmitate 50 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 120Very mild4 Participants
Paliperidone Palmitate 100 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 120None6 Participants
Paliperidone Palmitate 100 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 120Mild0 Participants
Paliperidone Palmitate 100 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 120Very mild5 Participants
Paliperidone Palmitate 150 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 120Very mild6 Participants
Paliperidone Palmitate 150 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 120None6 Participants
Paliperidone Palmitate 150 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 120Mild2 Participants
Paliperidone Palmitate 150/ 50 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 120None6 Participants
Paliperidone Palmitate 150/ 50 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 120Mild0 Participants
Paliperidone Palmitate 150/ 50 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 120Very mild5 Participants
Primary

Number of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 162

The DIEPSS is a scale used to evaluate the severity of drug induced extra-pyramidal symptoms occurring during antipsychotic drug treatment. Scale consists of 8 individual symptom scales with scores ranging from 0 (none/normal) to 4 (severe). The total score is the average of the 8 item scores, for a total range of 0 (normal) to 4 (severe). Overall severity was assessed at 5 levels (0 \[none, normal\]; 1 \[Very Mild\]; 2 \[Mild\]; 3 \[Moderate\]; 4 \[severe\]).

Time frame: Day 162

Population: Safety analysis set included all participants who were enrolled in the study and received the study medication at least once. Here 'N' (number of participants analyzed) signifies those participants evaluable for this measure.

ArmMeasureGroupValue (NUMBER)
Paliperidone Palmitate 50 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 162None9 Participants
Paliperidone Palmitate 50 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 162Mild0 Participants
Paliperidone Palmitate 50 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 162Very mild3 Participants
Paliperidone Palmitate 100 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 162None7 Participants
Paliperidone Palmitate 100 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 162Mild0 Participants
Paliperidone Palmitate 100 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 162Very mild4 Participants
Paliperidone Palmitate 150 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 162Very mild6 Participants
Paliperidone Palmitate 150 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 162None6 Participants
Paliperidone Palmitate 150 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 162Mild2 Participants
Paliperidone Palmitate 150/ 50 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 162None7 Participants
Paliperidone Palmitate 150/ 50 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 162Mild0 Participants
Paliperidone Palmitate 150/ 50 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 162Very mild4 Participants
Primary

Number of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 218

The DIEPSS is a scale used to evaluate the severity of drug induced extra-pyramidal symptoms occurring during antipsychotic drug treatment. Scale consists of 8 individual symptom scales with scores ranging from 0 (none/normal) to 4 (severe). The total score is the average of the 8 item scores, for a total range of 0 (normal) to 4 (severe). Overall severity was assessed at 5 levels (0 \[none, normal\]; 1 \[Very Mild\]; 2 \[Mild\]; 3 \[Moderate\]; 4 \[severe\]).

Time frame: Day 218

Population: Safety analysis set included all participants who were enrolled in the study and received the study medication at least once. Here 'N' (number of participants analyzed) signifies those participants evaluable for this measure.

ArmMeasureGroupValue (NUMBER)
Paliperidone Palmitate 50 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 218None9 Participants
Paliperidone Palmitate 50 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 218Mild0 Participants
Paliperidone Palmitate 50 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 218Very mild3 Participants
Paliperidone Palmitate 100 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 218None7 Participants
Paliperidone Palmitate 100 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 218Mild0 Participants
Paliperidone Palmitate 100 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 218Very mild4 Participants
Paliperidone Palmitate 150 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 218Very mild7 Participants
Paliperidone Palmitate 150 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 218None6 Participants
Paliperidone Palmitate 150 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 218Mild1 Participants
Paliperidone Palmitate 150/ 50 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 218None6 Participants
Paliperidone Palmitate 150/ 50 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 218Mild0 Participants
Paliperidone Palmitate 150/ 50 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 218Very mild5 Participants
Primary

Number of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 22

The DIEPSS is a scale used to evaluate the severity of drug induced extra-pyramidal symptoms occurring during antipsychotic drug treatment. Scale consists of 8 individual symptom scales with scores ranging from 0 (none/normal) to 4 (severe). The total score is the average of the 8 item scores, for a total range of 0 (normal) to 4 (severe). Overall severity was assessed at 5 levels (0 \[none, normal\]; 1 \[Very Mild\]; 2 \[Mild\]; 3 \[Moderate\]; 4 \[severe\]).

Time frame: Day 22

Population: Safety analysis set included all participants who were enrolled in the study and received the study medication at least once. Here 'N' (number of participants analyzed) signifies those participants evaluable for this measure.

ArmMeasureGroupValue (NUMBER)
Paliperidone Palmitate 50 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 22None7 Participants
Paliperidone Palmitate 50 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 22Mild0 Participants
Paliperidone Palmitate 50 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 22Very mild7 Participants
Paliperidone Palmitate 100 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 22None7 Participants
Paliperidone Palmitate 100 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 22Mild0 Participants
Paliperidone Palmitate 100 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 22Very mild6 Participants
Paliperidone Palmitate 150 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 22Very mild7 Participants
Paliperidone Palmitate 150 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 22None6 Participants
Paliperidone Palmitate 150 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 22Mild1 Participants
Paliperidone Palmitate 150/ 50 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 22None6 Participants
Paliperidone Palmitate 150/ 50 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 22Mild0 Participants
Paliperidone Palmitate 150/ 50 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 22Very mild8 Participants
Primary

Number of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 50

The DIEPSS is a scale used to evaluate the severity of drug induced extra-pyramidal symptoms occurring during antipsychotic drug treatment. Scale consists of 8 individual symptom scales with scores ranging from 0 (none/normal) to 4 (severe). The total score is the average of the 8 item scores, for a total range of 0 (normal) to 4 (severe). Overall severity was assessed at 5 levels (0 \[none, normal\]; 1 \[Very Mild\]; 2 \[Mild\]; 3 \[Moderate\]; 4 \[severe\]).

Time frame: Day 50

Population: Safety analysis set included all participants who were enrolled in the study and received the study medication at least once. Here 'N' (number of participants analyzed) signifies those participants evaluable for this measure.

ArmMeasureGroupValue (NUMBER)
Paliperidone Palmitate 50 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 50None11 Participants
Paliperidone Palmitate 50 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 50Mild0 Participants
Paliperidone Palmitate 50 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 50Very mild3 Participants
Paliperidone Palmitate 100 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 50None7 Participants
Paliperidone Palmitate 100 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 50Mild0 Participants
Paliperidone Palmitate 100 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 50Very mild5 Participants
Paliperidone Palmitate 150 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 50Very mild5 Participants
Paliperidone Palmitate 150 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 50None8 Participants
Paliperidone Palmitate 150 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 50Mild1 Participants
Paliperidone Palmitate 150/ 50 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 50None6 Participants
Paliperidone Palmitate 150/ 50 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 50Mild0 Participants
Paliperidone Palmitate 150/ 50 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 50Very mild6 Participants
Primary

Number of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 78

The DIEPSS is a scale used to evaluate the severity of drug induced extra-pyramidal symptoms occurring during antipsychotic drug treatment. Scale consists of 8 individual symptom scales with scores ranging from 0 (none/normal) to 4 (severe). The total score is the average of the 8 item scores, for a total range of 0 (normal) to 4 (severe). Overall severity was assessed at 5 levels (0 \[none, normal\]; 1 \[Very Mild\]; 2 \[Mild\]; 3 \[Moderate\]; 4 \[severe\]).

Time frame: Day 78

Population: Safety analysis set included all participants who were enrolled in the study and received the study medication at least once. Here 'N' (number of participants analyzed) signifies those participants evaluable for this measure.

ArmMeasureGroupValue (NUMBER)
Paliperidone Palmitate 50 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 78None9 Participants
Paliperidone Palmitate 50 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 78Mild0 Participants
Paliperidone Palmitate 50 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 78Very mild4 Participants
Paliperidone Palmitate 100 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 78None8 Participants
Paliperidone Palmitate 100 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 78Mild0 Participants
Paliperidone Palmitate 100 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 78Very mild4 Participants
Paliperidone Palmitate 150 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 78Very mild5 Participants
Paliperidone Palmitate 150 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 78None8 Participants
Paliperidone Palmitate 150 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 78Mild1 Participants
Paliperidone Palmitate 150/ 50 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 78None6 Participants
Paliperidone Palmitate 150/ 50 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 78Mild0 Participants
Paliperidone Palmitate 150/ 50 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 78Very mild5 Participants
Primary

Number of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 8

The DIEPSS is a scale used to evaluate the severity of drug induced extra-pyramidal symptoms occurring during antipsychotic drug treatment. Scale consists of 8 individual symptom scales with scores ranging from 0 (none/normal) to 4 (severe). The total score is the average of the 8 item scores, for a total range of 0 (normal) to 4 (severe). Overall severity was assessed at 5 levels (0 \[none, normal\]; 1 \[Very Mild\]; 2 \[Mild\]; 3 \[Moderate\]; 4 \[severe\]).

Time frame: Day 8

Population: Safety analysis set included all participants who were enrolled in the study and received the study medication at least once.

ArmMeasureGroupValue (NUMBER)
Paliperidone Palmitate 50 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 8None6 Participants
Paliperidone Palmitate 50 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 8Mild0 Participants
Paliperidone Palmitate 50 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 8Very mild8 Participants
Paliperidone Palmitate 100 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 8None9 Participants
Paliperidone Palmitate 100 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 8Mild0 Participants
Paliperidone Palmitate 100 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 8Very mild5 Participants
Paliperidone Palmitate 150 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 8Very mild6 Participants
Paliperidone Palmitate 150 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 8None6 Participants
Paliperidone Palmitate 150 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 8Mild2 Participants
Paliperidone Palmitate 150/ 50 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 8None6 Participants
Paliperidone Palmitate 150/ 50 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 8Mild1 Participants
Paliperidone Palmitate 150/ 50 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 8Very mild7 Participants
Primary

Number of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 92

The DIEPSS is a scale used to evaluate the severity of drug induced extra-pyramidal symptoms occurring during antipsychotic drug treatment. Scale consists of 8 individual symptom scales with scores ranging from 0 (none/normal) to 4 (severe). The total score is the average of the 8 item scores, for a total range of 0 (normal) to 4 (severe). Overall severity was assessed at 5 levels (0 \[none, normal\]; 1 \[Very Mild\]; 2 \[Mild\]; 3 \[Moderate\]; 4 \[severe\]).

Time frame: Day 92

Population: Safety analysis set included all participants who were enrolled in the study and received the study medication at least once. Here 'N' (number of participants analyzed) signifies those participants evaluable for this measure.

ArmMeasureGroupValue (NUMBER)
Paliperidone Palmitate 50 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 92None7 Participants
Paliperidone Palmitate 50 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 92Mild0 Participants
Paliperidone Palmitate 50 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 92Very mild6 Participants
Paliperidone Palmitate 100 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 92None7 Participants
Paliperidone Palmitate 100 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 92Mild0 Participants
Paliperidone Palmitate 100 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 92Very mild5 Participants
Paliperidone Palmitate 150 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 92Very mild6 Participants
Paliperidone Palmitate 150 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 92None7 Participants
Paliperidone Palmitate 150 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 92Mild1 Participants
Paliperidone Palmitate 150/ 50 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 92None5 Participants
Paliperidone Palmitate 150/ 50 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 92Mild0 Participants
Paliperidone Palmitate 150/ 50 mgNumber of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 92Very mild6 Participants
Primary

Paliperidone Plasma Decay Half-Life (t1/2)

Plasma decay half-life is the time measured for the plasma concentration to decrease by one half.

Time frame: Days 1, 8, 15, 22, 36, 50, 64, 67, 71, 74, 78, 85, 92, 106, 120, 134, 162, 190, 218 and early withdrawal

Population: Pharmacokinetic analysis set included all participants who received the study medication and whose plasma drug concentrations were available. Here 'N' (number of participants analyzed) signifies those participants evaluable for this measure.

ArmMeasureValue (MEAN)Dispersion
Paliperidone Palmitate 50 mgPaliperidone Plasma Decay Half-Life (t1/2)68.1 DaysStandard Deviation 48
Paliperidone Palmitate 100 mgPaliperidone Plasma Decay Half-Life (t1/2)58.5 DaysStandard Deviation 29.1
Paliperidone Palmitate 150 mgPaliperidone Plasma Decay Half-Life (t1/2)95.5 DaysStandard Deviation 98.8
Paliperidone Palmitate 150/ 50 mgPaliperidone Plasma Decay Half-Life (t1/2)104.4 DaysStandard Deviation 97.1
Primary

Paliperidone Pre-dose Plasma Concentration (Cpredose) at Day 36

The Cpredose at Day 36 is defined as the plasma concentration obtained before a dose is given on Day 36. The mean Cpredose at Day 36 was measured in ng/ml.

Time frame: Day 36

Population: Pharmacokinetic analysis set included all participants who received the study treatment and whose plasma drug concentrations were available. Here 'N' (number of participants analyzed) signifies those participants evaluable for this measure.

ArmMeasureValue (MEAN)Dispersion
Paliperidone Palmitate 50 mgPaliperidone Pre-dose Plasma Concentration (Cpredose) at Day 366.77 ng/mlStandard Deviation 3.75
Paliperidone Palmitate 100 mgPaliperidone Pre-dose Plasma Concentration (Cpredose) at Day 3614.5 ng/mlStandard Deviation 5.76
Paliperidone Palmitate 150 mgPaliperidone Pre-dose Plasma Concentration (Cpredose) at Day 3623.4 ng/mlStandard Deviation 18.6
Paliperidone Palmitate 150/ 50 mgPaliperidone Pre-dose Plasma Concentration (Cpredose) at Day 3619.5 ng/mlStandard Deviation 16.1
Primary

Paliperidone Pre-dose Plasma Concentration (Cpredose) at Day 64

The Cpredose at Day 64 is defined as the plasma paliperidone concentration obtained before a dose is given on Day 64. The mean Cpredose at Day 64 was measured in ng/ml.

Time frame: Day 64

Population: Pharmacokinetic analysis set included all participants who received the study treatment and whose plasma drug concentrations were available. Here 'N' (number of participants analyzed) signifies those participants evaluable for this measure.

ArmMeasureValue (MEAN)Dispersion
Paliperidone Palmitate 50 mgPaliperidone Pre-dose Plasma Concentration (Cpredose) at Day 646.86 ng/mlStandard Deviation 3.31
Paliperidone Palmitate 100 mgPaliperidone Pre-dose Plasma Concentration (Cpredose) at Day 6415.1 ng/mlStandard Deviation 9.16
Paliperidone Palmitate 150 mgPaliperidone Pre-dose Plasma Concentration (Cpredose) at Day 6422.9 ng/mlStandard Deviation 16.3
Paliperidone Palmitate 150/ 50 mgPaliperidone Pre-dose Plasma Concentration (Cpredose) at Day 6414.3 ng/mlStandard Deviation 9.01
Primary

Paliperidone Pre-dose Plasma Concentration (Cpredose) at Day 8

The pre-dose plasma concentration (Cpredose) at Day 8 is defined as the plasma concentration obtained before a dose is given on Day 8. The mean Cpredose at Day 8 was measured in nanogram per milliliter (ng/ml).

Time frame: Day 8

Population: Pharmacokinetic analysis set included all participants who received the study treatment and whose plasma drug concentrations were available. Here 'N' (number of participants analyzed) signifies those participants evaluable for this measure.

ArmMeasureValue (MEAN)Dispersion
Paliperidone Palmitate 50 mgPaliperidone Pre-dose Plasma Concentration (Cpredose) at Day 85.85 ng/mlStandard Deviation 4.47
Paliperidone Palmitate 100 mgPaliperidone Pre-dose Plasma Concentration (Cpredose) at Day 87.28 ng/mlStandard Deviation 4.92
Paliperidone Palmitate 150 mgPaliperidone Pre-dose Plasma Concentration (Cpredose) at Day 828.4 ng/mlStandard Deviation 29.2
Paliperidone Palmitate 150/ 50 mgPaliperidone Pre-dose Plasma Concentration (Cpredose) at Day 812.1 ng/mlStandard Deviation 7.46
Primary

Paliperidone Pre-dose Plasma Concentration (Cpredose) at Day 92

The Cpredose at Day 92 is defined as the plasma paliperidone concentration obtained after the treatment interval of the study drug (that is 4 weeks) passed after the final dose (Day 92). The mean Cpredose at Day 92 was measured in ng/ml.

Time frame: Day 92

Population: Pharmacokinetic analysis set included all participants who received the study treatment and whose plasma drug concentrations were available. Here 'N' (number of participants analyzed) signifies those participants evaluable for this measure.

ArmMeasureValue (MEAN)Dispersion
Paliperidone Palmitate 50 mgPaliperidone Pre-dose Plasma Concentration (Cpredose) at Day 928.41 ng/mlStandard Deviation 4.51
Paliperidone Palmitate 100 mgPaliperidone Pre-dose Plasma Concentration (Cpredose) at Day 9215.2 ng/mlStandard Deviation 6.21
Paliperidone Palmitate 150 mgPaliperidone Pre-dose Plasma Concentration (Cpredose) at Day 9225.4 ng/mlStandard Deviation 16.8
Paliperidone Palmitate 150/ 50 mgPaliperidone Pre-dose Plasma Concentration (Cpredose) at Day 9213.5 ng/mlStandard Deviation 6.38
Primary

Plasma Paliperidone Concentration at Steady State (Css av)

The Css av is defined as value of average analyte concentration at steady-state (after 4 Intramuscular Injections of Paliperidone Palmitate).

Time frame: Days 1, 8, 15, 22, 36, 50, 64, 67, 71, 74, 78, 85, 92, 106, 120, 134, 162, 190, 218 and early withdrawal

Population: Pharmacokinetic analysis set included all participants who received the study medication and whose plasma drug concentrations were available. Here 'N' (number of participants analyzed) signifies those participants evaluable for this measure.

ArmMeasureValue (MEAN)Dispersion
Paliperidone Palmitate 50 mgPlasma Paliperidone Concentration at Steady State (Css av)10.7 ng/mlStandard Deviation 5.42
Paliperidone Palmitate 100 mgPlasma Paliperidone Concentration at Steady State (Css av)23.9 ng/mlStandard Deviation 11.4
Paliperidone Palmitate 150 mgPlasma Paliperidone Concentration at Steady State (Css av)32.8 ng/mlStandard Deviation 23.1
Paliperidone Palmitate 150/ 50 mgPlasma Paliperidone Concentration at Steady State (Css av)16.7 ng/mlStandard Deviation 8.28
Primary

Time to Reach Maximum Observed Plasma Concentration (Tmax) of Paliperidone

The Tmax is defined as actual sampling time to reach maximum observed analyte concentration.

Time frame: Days 1, 8, 15, 22, 36, 50, 64, 67, 71, 74, 78, 85, 92, 106, 120, 134, 162, 190, 218 and early withdrawal

Population: Pharmacokinetic analysis set included all participants who received the study medication and whose plasma drug concentrations were available. Here 'N' (number of participants analyzed) signifies those participants evaluable for this measure.

ArmMeasureValue (MEDIAN)
Paliperidone Palmitate 50 mgTime to Reach Maximum Observed Plasma Concentration (Tmax) of Paliperidone10.99 Days
Paliperidone Palmitate 100 mgTime to Reach Maximum Observed Plasma Concentration (Tmax) of Paliperidone7.89 Days
Paliperidone Palmitate 150 mgTime to Reach Maximum Observed Plasma Concentration (Tmax) of Paliperidone7.50 Days
Paliperidone Palmitate 150/ 50 mgTime to Reach Maximum Observed Plasma Concentration (Tmax) of Paliperidone3.82 Days
Secondary

Number of Participants With Clinical Global Impression Severity (CGI-S) Score

The CGI-S rating scale is a 7 point (1-absent, 2-minimal, 3-mild, 4-moderate, 5-moderate severe, 6-severe, 7-extreme) global assessment that measures the clinician's impression of the severity of illness exhibited by a participant. A rating of 1 is equivalent to normal, not at all ill and a rating of 7 is equivalent to among the most extremely ill participants. Higher scores indicate worsening.

Time frame: Baseline, Day 8, 22, 50, 78 and 92

Population: The PPS included all participants who were enrolled in the study, received study medication at least once and had at least one efficacy evaluation. LOCF imputation method was used. Here 'n' signifies participants evaluable for this measure at specified time point for each arm group.

ArmMeasureGroupValue (NUMBER)
Paliperidone Palmitate 50 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 8, Moderate (n=14,14,13,14)3 Participants
Paliperidone Palmitate 50 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreBaseline, Mild (n=14,14,14,14)8 Participants
Paliperidone Palmitate 50 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreBaseline, Moderate (n=14,14,14,14)3 Participants
Paliperidone Palmitate 50 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreBaseline, Moderate severe (n=14,14,14,14)0 Participants
Paliperidone Palmitate 50 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 8, Minimal (n=14,14,13,14)3 Participants
Paliperidone Palmitate 50 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 8, Mild (n=14,14,13,14)8 Participants
Paliperidone Palmitate 50 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreBaseline, Minimal (n=14,14,14,14)3 Participants
Paliperidone Palmitate 50 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 8, Moderate severe (n=14,14,13,14)0 Participants
Paliperidone Palmitate 50 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 22, Minimal (n=14,14,14,14)4 Participants
Paliperidone Palmitate 50 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 22, Mild (n=14,14,14,14)8 Participants
Paliperidone Palmitate 50 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 22, Moderate (n=14,14,14,14)2 Participants
Paliperidone Palmitate 50 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 22, Moderate severe (n=14,14,14,14)0 Participants
Paliperidone Palmitate 50 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 50, Minimal (n=14,14,14,14)5 Participants
Paliperidone Palmitate 50 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 50, Mild (n=14,14,14,14)7 Participants
Paliperidone Palmitate 50 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 50, Moderate (n=14,14,14,14)1 Participants
Paliperidone Palmitate 50 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 50, Moderate severe (n=14,14,14,14)1 Participants
Paliperidone Palmitate 50 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 78, Minimal (n=14,14,14,14)6 Participants
Paliperidone Palmitate 50 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 78, Mild (n=14,14,14,14)6 Participants
Paliperidone Palmitate 50 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 78, Moderate (n=14,14,14,14)1 Participants
Paliperidone Palmitate 50 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 78, Moderate severe (n=14,14,14,14)1 Participants
Paliperidone Palmitate 50 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 92, Minimal (n=14,14,14,14)5 Participants
Paliperidone Palmitate 50 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 92, Mild(n=14,14,14,14)7 Participants
Paliperidone Palmitate 50 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 92, Moderate (n=14,14,14,14)1 Participants
Paliperidone Palmitate 50 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 92, Moderate severe (n=14,14,14,14)1 Participants
Paliperidone Palmitate 100 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 92, Moderate severe (n=14,14,14,14)2 Participants
Paliperidone Palmitate 100 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 50, Minimal (n=14,14,14,14)5 Participants
Paliperidone Palmitate 100 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreBaseline, Moderate severe (n=14,14,14,14)1 Participants
Paliperidone Palmitate 100 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 92, Moderate (n=14,14,14,14)3 Participants
Paliperidone Palmitate 100 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 92, Mild(n=14,14,14,14)5 Participants
Paliperidone Palmitate 100 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 50, Mild (n=14,14,14,14)4 Participants
Paliperidone Palmitate 100 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 22, Minimal (n=14,14,14,14)5 Participants
Paliperidone Palmitate 100 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 78, Minimal (n=14,14,14,14)5 Participants
Paliperidone Palmitate 100 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 8, Mild (n=14,14,13,14)7 Participants
Paliperidone Palmitate 100 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 50, Moderate (n=14,14,14,14)3 Participants
Paliperidone Palmitate 100 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreBaseline, Moderate (n=14,14,14,14)3 Participants
Paliperidone Palmitate 100 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 50, Moderate severe (n=14,14,14,14)2 Participants
Paliperidone Palmitate 100 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 92, Minimal (n=14,14,14,14)4 Participants
Paliperidone Palmitate 100 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 22, Mild (n=14,14,14,14)5 Participants
Paliperidone Palmitate 100 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 78, Moderate severe (n=14,14,14,14)2 Participants
Paliperidone Palmitate 100 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreBaseline, Mild (n=14,14,14,14)6 Participants
Paliperidone Palmitate 100 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 8, Moderate severe (n=14,14,13,14)2 Participants
Paliperidone Palmitate 100 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 22, Moderate (n=14,14,14,14)3 Participants
Paliperidone Palmitate 100 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 8, Moderate (n=14,14,13,14)2 Participants
Paliperidone Palmitate 100 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 78, Moderate (n=14,14,14,14)3 Participants
Paliperidone Palmitate 100 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreBaseline, Minimal (n=14,14,14,14)4 Participants
Paliperidone Palmitate 100 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 22, Moderate severe (n=14,14,14,14)1 Participants
Paliperidone Palmitate 100 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 8, Minimal (n=14,14,13,14)3 Participants
Paliperidone Palmitate 100 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 78, Mild (n=14,14,14,14)4 Participants
Paliperidone Palmitate 150 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 22, Moderate (n=14,14,14,14)1 Participants
Paliperidone Palmitate 150 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 8, Moderate (n=14,14,13,14)1 Participants
Paliperidone Palmitate 150 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 8, Moderate severe (n=14,14,13,14)0 Participants
Paliperidone Palmitate 150 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 22, Minimal (n=14,14,14,14)4 Participants
Paliperidone Palmitate 150 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 22, Mild (n=14,14,14,14)9 Participants
Paliperidone Palmitate 150 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 92, Minimal (n=14,14,14,14)5 Participants
Paliperidone Palmitate 150 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 78, Moderate severe (n=14,14,14,14)1 Participants
Paliperidone Palmitate 150 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 22, Moderate severe (n=14,14,14,14)0 Participants
Paliperidone Palmitate 150 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 50, Minimal (n=14,14,14,14)3 Participants
Paliperidone Palmitate 150 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 50, Mild (n=14,14,14,14)10 Participants
Paliperidone Palmitate 150 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 92, Mild(n=14,14,14,14)8 Participants
Paliperidone Palmitate 150 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 50, Moderate (n=14,14,14,14)1 Participants
Paliperidone Palmitate 150 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 50, Moderate severe (n=14,14,14,14)0 Participants
Paliperidone Palmitate 150 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 92, Moderate severe (n=14,14,14,14)1 Participants
Paliperidone Palmitate 150 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 78, Minimal (n=14,14,14,14)5 Participants
Paliperidone Palmitate 150 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 78, Mild (n=14,14,14,14)8 Participants
Paliperidone Palmitate 150 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 92, Moderate (n=14,14,14,14)0 Participants
Paliperidone Palmitate 150 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreBaseline, Minimal (n=14,14,14,14)3 Participants
Paliperidone Palmitate 150 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreBaseline, Mild (n=14,14,14,14)10 Participants
Paliperidone Palmitate 150 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 78, Moderate (n=14,14,14,14)0 Participants
Paliperidone Palmitate 150 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreBaseline, Moderate (n=14,14,14,14)1 Participants
Paliperidone Palmitate 150 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreBaseline, Moderate severe (n=14,14,14,14)0 Participants
Paliperidone Palmitate 150 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 8, Minimal (n=14,14,13,14)3 Participants
Paliperidone Palmitate 150 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 8, Mild (n=14,14,13,14)9 Participants
Paliperidone Palmitate 150/ 50 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 92, Moderate (n=14,14,14,14)2 Participants
Paliperidone Palmitate 150/ 50 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 92, Minimal (n=14,14,14,14)1 Participants
Paliperidone Palmitate 150/ 50 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 8, Moderate severe (n=14,14,13,14)0 Participants
Paliperidone Palmitate 150/ 50 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreBaseline, Minimal (n=14,14,14,14)1 Participants
Paliperidone Palmitate 150/ 50 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 22, Moderate (n=14,14,14,14)3 Participants
Paliperidone Palmitate 150/ 50 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 22, Mild (n=14,14,14,14)9 Participants
Paliperidone Palmitate 150/ 50 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 8, Mild (n=14,14,13,14)10 Participants
Paliperidone Palmitate 150/ 50 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreBaseline, Mild (n=14,14,14,14)8 Participants
Paliperidone Palmitate 150/ 50 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 8, Minimal (n=14,14,13,14)1 Participants
Paliperidone Palmitate 150/ 50 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 22, Minimal (n=14,14,14,14)2 Participants
Paliperidone Palmitate 150/ 50 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 78, Moderate severe (n=14,14,14,14)0 Participants
Paliperidone Palmitate 150/ 50 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreBaseline, Moderate (n=14,14,14,14)5 Participants
Paliperidone Palmitate 150/ 50 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 92, Mild(n=14,14,14,14)11 Participants
Paliperidone Palmitate 150/ 50 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 50, Moderate (n=14,14,14,14)0 Participants
Paliperidone Palmitate 150/ 50 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 78, Moderate (n=14,14,14,14)1 Participants
Paliperidone Palmitate 150/ 50 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 50, Moderate severe (n=14,14,14,14)1 Participants
Paliperidone Palmitate 150/ 50 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 92, Moderate severe (n=14,14,14,14)0 Participants
Paliperidone Palmitate 150/ 50 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 50, Mild (n=14,14,14,14)13 Participants
Paliperidone Palmitate 150/ 50 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 8, Moderate (n=14,14,13,14)3 Participants
Paliperidone Palmitate 150/ 50 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 78, Minimal (n=14,14,14,14)1 Participants
Paliperidone Palmitate 150/ 50 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 50, Minimal (n=14,14,14,14)0 Participants
Paliperidone Palmitate 150/ 50 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 22, Moderate severe (n=14,14,14,14)0 Participants
Paliperidone Palmitate 150/ 50 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreBaseline, Moderate severe (n=14,14,14,14)0 Participants
Paliperidone Palmitate 150/ 50 mgNumber of Participants With Clinical Global Impression Severity (CGI-S) ScoreDay 78, Mild (n=14,14,14,14)12 Participants
Secondary

Positive and Negative Syndrome Scale (PANSS) Total Score

The PANSS is a medical scale that assesses various symptoms of schizophrenia. The symptoms are rated on a 7-point scale from 1 (absent) to 7 (extreme psychopathology). The total score is the sum of all 30 PANSS items, with a range of 30 (absent) to 210 (extreme ill).

Time frame: Baseline, Day 8, 22, 50, 78 and 92

Population: Per protocol set (PPS) included all participants who were enrolled in the study, received study medication at least once and had at least one efficacy evaluation. Last observation carried forward (LOCF) imputation method was used. Here 'n' signifies participants evaluable for this measure at specified time point for each arm group.

ArmMeasureGroupValue (MEAN)Dispersion
Paliperidone Palmitate 50 mgPositive and Negative Syndrome Scale (PANSS) Total ScoreBaseline (n = 14, 14, 14, 14)61.9 units on a scaleStandard Deviation 12.39
Paliperidone Palmitate 50 mgPositive and Negative Syndrome Scale (PANSS) Total ScoreDay 8 (n = 14, 14, 13, 14)60.0 units on a scaleStandard Deviation 13.85
Paliperidone Palmitate 50 mgPositive and Negative Syndrome Scale (PANSS) Total ScoreDay 22 (n = 14, 14, 14, 14)56.8 units on a scaleStandard Deviation 13.19
Paliperidone Palmitate 50 mgPositive and Negative Syndrome Scale (PANSS) Total ScoreDay 50 (n = 14, 14, 14, 14)57.9 units on a scaleStandard Deviation 17.49
Paliperidone Palmitate 50 mgPositive and Negative Syndrome Scale (PANSS) Total ScoreDay 78 (n = 14, 14, 14, 14)56.4 units on a scaleStandard Deviation 17.07
Paliperidone Palmitate 50 mgPositive and Negative Syndrome Scale (PANSS) Total ScoreDay 92 (n = 14, 14, 14, 14)56.4 units on a scaleStandard Deviation 17.79
Paliperidone Palmitate 100 mgPositive and Negative Syndrome Scale (PANSS) Total ScoreDay 92 (n = 14, 14, 14, 14)60.2 units on a scaleStandard Deviation 20.38
Paliperidone Palmitate 100 mgPositive and Negative Syndrome Scale (PANSS) Total ScoreDay 50 (n = 14, 14, 14, 14)60.0 units on a scaleStandard Deviation 20.47
Paliperidone Palmitate 100 mgPositive and Negative Syndrome Scale (PANSS) Total ScoreBaseline (n = 14, 14, 14, 14)60.7 units on a scaleStandard Deviation 17.28
Paliperidone Palmitate 100 mgPositive and Negative Syndrome Scale (PANSS) Total ScoreDay 22 (n = 14, 14, 14, 14)58.1 units on a scaleStandard Deviation 19.59
Paliperidone Palmitate 100 mgPositive and Negative Syndrome Scale (PANSS) Total ScoreDay 8 (n = 14, 14, 13, 14)59.6 units on a scaleStandard Deviation 19.44
Paliperidone Palmitate 100 mgPositive and Negative Syndrome Scale (PANSS) Total ScoreDay 78 (n = 14, 14, 14, 14)60.4 units on a scaleStandard Deviation 20.05
Paliperidone Palmitate 150 mgPositive and Negative Syndrome Scale (PANSS) Total ScoreDay 8 (n = 14, 14, 13, 14)57.8 units on a scaleStandard Deviation 17.21
Paliperidone Palmitate 150 mgPositive and Negative Syndrome Scale (PANSS) Total ScoreDay 22 (n = 14, 14, 14, 14)57.1 units on a scaleStandard Deviation 16.1
Paliperidone Palmitate 150 mgPositive and Negative Syndrome Scale (PANSS) Total ScoreDay 50 (n = 14, 14, 14, 14)56.5 units on a scaleStandard Deviation 15.04
Paliperidone Palmitate 150 mgPositive and Negative Syndrome Scale (PANSS) Total ScoreDay 92 (n = 14, 14, 14, 14)57.4 units on a scaleStandard Deviation 17.83
Paliperidone Palmitate 150 mgPositive and Negative Syndrome Scale (PANSS) Total ScoreDay 78 (n = 14, 14, 14, 14)57.2 units on a scaleStandard Deviation 18.55
Paliperidone Palmitate 150 mgPositive and Negative Syndrome Scale (PANSS) Total ScoreBaseline (n = 14, 14, 14, 14)60.4 units on a scaleStandard Deviation 16.76
Paliperidone Palmitate 150/ 50 mgPositive and Negative Syndrome Scale (PANSS) Total ScoreDay 78 (n = 14, 14, 14, 14)59.9 units on a scaleStandard Deviation 13.03
Paliperidone Palmitate 150/ 50 mgPositive and Negative Syndrome Scale (PANSS) Total ScoreDay 92 (n = 14, 14, 14, 14)60.6 units on a scaleStandard Deviation 13.52
Paliperidone Palmitate 150/ 50 mgPositive and Negative Syndrome Scale (PANSS) Total ScoreDay 8 (n = 14, 14, 13, 14)62.6 units on a scaleStandard Deviation 15.33
Paliperidone Palmitate 150/ 50 mgPositive and Negative Syndrome Scale (PANSS) Total ScoreDay 50 (n = 14, 14, 14, 14)62.8 units on a scaleStandard Deviation 13.89
Paliperidone Palmitate 150/ 50 mgPositive and Negative Syndrome Scale (PANSS) Total ScoreBaseline (n = 14, 14, 14, 14)63.9 units on a scaleStandard Deviation 15.58
Paliperidone Palmitate 150/ 50 mgPositive and Negative Syndrome Scale (PANSS) Total ScoreDay 22 (n = 14, 14, 14, 14)60.4 units on a scaleStandard Deviation 13.15

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026